I've had 4 surgerys.1st an augmentation,the 2nd & 3rd due to cc in the left breast & the 4th surgery cc in the right breast.The 4th surgery was 5 1/2 weeks ago along with the removal of cc in the right i had a lift,stratice placed & smooth implants replaced,drains in both. right breast is soft as can be! left is hard,round,high, tingly on the armpit side when i wake up,& i dont have full movement in that arm hurts in muscle.too early for cc being only 5 weeks? i feel like it has no room 2 drop.
Is 5 1/2 Weeks Too Early for Cc? What else Could It Be?
Doctor Answers (9)
Consider Strattice To Treat Capsular Contracture Of Left Breast
Thank you for your question. I am terribly sorry to hear the difficulties that you have been through. As others have suggested deciding to give up and not have breast implants is certainly an option.
However you state that stratus was placed on the right side and that that breast is perfectly soft and movable at the present time. If stratus was not used on the left side based on your experience, if you want to proceed and continue to have breast implants then removal of the capsule on the left and wrapping a new implant in stratus or AlloDerm would be her best option.
Recurrent capsular contracture
Capsular contractures often occur early and you clearly have one. After four surgeries with the same complication you should ask yourself if breast implants are really the best solution to your aesthetic concerns. The risks of permanent deformity increase with every surgery. I would suggest that you consider removal of the implants altogether and be evaluated for some other modality such as breast lift or augmentation using fat injections.
Sorry, but someone has to say it!
Capsular contracture of the breasts
Capsular contracture may certainly be involved in the changes in your breast. I would advise early treatment to prevent longterm aesthetic changes.
Raffy Karamanoukian MD FACS
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High riding implant
Its possible but early. Potentially troubleshooting the reason for capsular contracture is a good start. Your question is very complicated. Capsular contracture is not always preventable. It can occur due to an infection, radiation, hematoma or just the way and individual heals. Capsular contracture can be minimized from the surgeon's side by placing the implant underneath the muscle and/ or using a biologic mesh as a buffer between the skin and implant may help. This may be a prudent way to go given that placing the implant above the muscle is known to have a higher rate of capsular contracture. Some surgeons advocate breast massage as away to keep an implant mobile in a capsular pocket. Its effects on capsular contracture are debatable and unknown. The rate of return depends on the reason the capsular contraction first occurred. Also, if the capsule was removed, scored or partially removed is also important to know to make a reasonable assessment. Truly because of the complexity, you should consult with a board certified plastic surgeon who is comfortable with complicated revisions of the breast.
Possible early capsular contracture
It would be very early to have a recurrent capsular contracture at one month post capsulectomy. It is possible that you have a small hematoma or collection of blood causing the early firmness. Your plastic surgeon is in the best possible position to understand if this is another capsular contracture. If it is a hematoma then it should be drained as soon as possible or it can lead to another capsular contracture.
Capsular contracture after five weeks
Repeated Capsular Contracture
The before pictures would help
Is 5 1/2 weeks too early for a capsular contracutre
5 1/2 weeks is not too early for a capsular contracture. I am unclear as to whether you had Strattice placed just in the left breast or both. In any event, discuss this with your surgeon. If the implant is hard and high, chances are it is due to a capsular contracture. If it is also larger, it is possible that you developed a hematoma after surgery, and this will almost invariably lead to a capsular contracture as well.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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